children and family treatment and support services (cftss ... incident reporting_0.pdf · children...
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Children and Family Treatment and
Support Services (CFTSS)
Incident Reporting
NYS Office of Mental Health
Division of Integrated Services for Children and Families
Presentation for OMH Designated CFTSS Providers
May 21, 2019
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I. Purpose
II. Applicability
III. Review of Incident Reporting Categories
IV. Reporting an Incident
V. Additional Information
VI. Q&A
Agenda
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• New York State Incident Management and Reporting System
(NIMRS)
https://www.omh.ny.gov/omhweb/dqm/bqi/nimrs/index.html
.
• Incident Reporting Manual: Issued April 2019
https://www.omh.ny.gov/omhweb/bho/cftss_incident_reporting.pdf
(NYS OMH Medicaid Managed Care/ Children’s Health and Behavioral
Health System Transformation)
• CFTSS Listserv
General Information
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Purpose
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Why are unlicensed CFTS services required to report, track,
and resolve incidents?
NIMRS Incident Reporting is an OMH safeguard for individuals served
under their jurisdiction.
What does OMH do with the incident reports?
Similar to provider agencies, we track, monitor and resolve the incident
reports we receive.
Purpose
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Applicability
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Who is required to follow OMH CFTSS Incident Reporting
Requirements?
For now, all providers of CFTSS designated to serve the Mental Health
population.
Does the actual service provider need to enter the incident?
No, commonly, providers will utilize support staff to log incidents into
NIMRS per internal agency policies and procedures.
Applicability
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What if the incident is reported by another program? Do we
(CFTSS) still report?
It depends. How did you learn of the incident? Who was the incident
already reported to? Who submitted the report?
Since CFTSS staff are Mandated Reporters, does reporting
to SCR fulfill our obligation to report an incident?
No, not completely. Despite a report being filed with an ancillary agency,
if the incident falls within a incident reportable category for OMH – the
incident must be logged in NIMRS as well.
Applicability (continued)
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Incident
Categories
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Incidents are broken into two categories:
1. Reportable Incidents
2. Significant Incidents
Incident Categories
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• Allegations of Abuse and Neglect
• Physical Abuse
• Psychological Abuse
• Sexual Abuse
• Neglect
• Restraint or Seclusion
• Obstruction of Reports of Reportable Incidents
• Unlawful Use or Administration of a Controlled Substance
• Aversive Conditioning
Reportable Incidents
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• Sexual Assault
• Missing Enrollee*
• Severe Adverse Drug Reaction
• Assault*
• Crime*
• Crimes in the Community*
• Financial Exploitation*
• Fire Setting*
• Injury of Unknow Origin*
• Mistreatment*
• Self-Abuse
• Suicide Attempt*
• Wrongful Conduct*
• Enrollee Death*
• Other
Significant Incidents
*Incident must be reported to OMH regardless of resulting, perceived or actual injury or harm
* Asterisk to be removed from Manual and therefore, these categories are ONLY reportable based on the level of harm meeting “serious injury or harm”.
Reportable due to the level of severity or sensitivity
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Reporting an
Incident
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• Information to Include in an Incident Report:
• Who? Who was involved in the incident (e.g., custodian,
ancillary agencies/providers, CFTSS provider, etc.)
• What? Description of the incident
• When? Date/time of incident, when the agency become
aware of the incident, when follow-up action took place
• Where? Where did the incident take place?
• How? How did the agency address the incident including
resolution.
Reporting an Incident
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Incident Report Follow-up:
If an incident is unresolved at the time of initial report,
the CFTSS Agency is responsible for updating the
incident report until resolved/closed.
Reporting an Incident (continued)
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Unsure if an Incident is Reportable?
Reporting an Incident (continued)
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Additional
Information
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Incident Reporting Timeframe
After becoming aware of an incident, a report must be filed with
one business day.
Agency Policy and Procedure
Families must be informed of the agency’s responsibility report
incidents and the type of incidents that are reportable.
Additional Information
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Oversight
CFTSS Agency
Above and beyond the responsibility to report incidents to OMH,
agencies are also responsible for establishing an internal Review
Committee to determine if incidents are handled properly.
New York State
Monitors incidents on an individual and systematic basis to
prevent the occurrence or reoccurrence of incidents.
Additional Information (continued)
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Questions
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• Please contact OMH at [email protected]
• For specific NIMRS questions please contact OMH NIMRS
Division at (518) 474-3619 (between 8:30am-5pm M-F) or
send an email to:
https://www.omh.ny.gov/omhweb/email/compose_mail.php?
tid=DQM
More Questions?